HomeMy WebLinkAboutL 12114 P 429
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NO N.Y.S.
Real Estate
Transfer ITax
Stamps
Required
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Form 8.004 (9/99) - Quitclaim Deed-Individual or Corporation. (single sheet)
CONSULT YOUR LAWYER BEFORE SIGNING THIS INSTRUMENT - THIS INSTRUMENT SHOULD BE USED BY LAWYERS ONLY.
THIS INDENTURE, made the 18th day of April , 2001
BETVVEEN WILLIAM S. MIDGLEY. JR. a/k/a WILLIAM B.
200 Skunk Lane, Cutchogue, New York 11935
and
MIDGLEY, residing at
\,~
OSCAR E. BLEVINS and BETH P. BLEVINS, his wife, residing
party of the first partL and
at 640 Haywa~ers Drive, Cutchogue, New York 11935
~ j/
party of the second part,
VVITNESSETH, that the party of the first part, in consideration of ten dollars paid hy the party of the second part, does
hereby remise, release and quitclaim unto the party of the second part, the heirs or successors and assigns of the party of
the second part forever,.
ALL that certain plot, piece or jJarcel of land, wi.lHhe-bHileiflg&..H<l-iffi!'f"''''''''8Ill&lh<+ooR.-clOO. situate, lyin~ and
bein" in the Town of Southold, at Cutchogue, County of Suffolk and' State or
Ne~ York, bounded and described as follows:
[~ BEGINNING at a point on the northwesterly side of Mason Drive, said
point being distant 231.14 feet southwesterly from the corner formed by the
intersection of the westerly side of Haywaters Drive and the northwesterly
side of Mason Drive; thence from said point of beginning, across Mason
Drive South 580 07' 45" East 58.05 feet to lands now or formerly of
Sweeney; thence along said lands South 010 20' 00" West 372,53 feet to the
water line of Haywaters Cove; thence along said Haywaters Cove North 630
58' 38" West 44.29 feet; thence still along said Haywaters Cove North 450
55' 02" West 13.29 feet to a point; thence North 010 20' 00" East 374.50
feet to the point or place of BEGINNING.
BEING AND INTENDED TO BE a portion of
Mason
.-r
Drive.
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TOGETHER with all right, title and interest, if any, of the party of the first part, in and to any streets and roads
abutting the above. described premises to the center lines thereof; TOGETHER with the appurtenances and all the
estate and rights of the party of the first part in and to said premises: TO HAVE AND TO HOLD the premises herein
granted unto the party of the seconu part, the heirs or successors and assigns of the party of the second part forever.
^!'lD th~ party or t~c first part, in compliance with Section 13 of the Lien Law, hereby l:ovcnants that the party
of the fust part WIll receive the consideration for this conveyance and wi II hold the right to receive such
consideration as a trust fund to be applied first for the purpose of paying the cost of the improvement and will
apply the same first to the payment of the cost of the improvement before using any part of the total of the
same for any other purpose.
The word "party" shall be construed as if it read "parties" whenever the sense of this indenture so requires.
IN VVITNESS VVHEREOF, the party of the first part has duly executed this deed the day and year first above
WrItten.
IN PRESENCE OF;
1;V,,&.v u.i ~0~ 4.~ ~
iJ:~.lt~ (1'~{:;:
William S. Midgley, Jr. a/k/a
William B. Midgley
Page 2 of 3
~
[i2
J
Number of pages
TORRENS
'2
J
Serial #
Certificate #
v
Prior Ctf. #
Deed / Mortgage Instrument
Deed / Mortgage Tax Stamp
Recording / Filing Stamps
4
FEES
Page / Filing Fee
Mortgage Amt.
Handling
TP-584
I. Basic Tax
2. Additional Tax
Notation
Sub Total
EA-52 17 (County)
EA-52 I 7 (State)
Sub Total
Comm. of Ed.
50~
Spec.! Assit.
Or
Spec. / Add.
R.P.T.S.A.
IS
TOT. MTG. TAX
Dual Town Dual County
Held for Apportionment
Transfer Tax
Affidavit
~edcoP0
Reg. Copy
GRAND TOTAL
I) -
Mansion Tax
The property covered by this mortgage is or
will be improved by a ol1e or two family
dwelling only.
YES or NO
If NO, see appropriate tax clause on page #
of this instrument.
Sub Total
Other
6::":_.'~~
rii;".'.:.-.~:~;<:. ~ \1
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"';'1.-.
Real Property Tax Service Agency Verificationi,/) 1
Dist. Section B lock Lot
6 Community Preservation Fund
Consideration Amount $ -0-
,
Stamp:' arce1 deed d to the pa ty of the
1>.!;;O.(I/ by deed date April 18, 2001
Db. / 4 " Ot....,) {Vl() (' (
Imhals IOOU 0 .()u .,oJ .(.e. 'v' '(,
7 Satisfactions/Discharges/Releases List Property Owners Mailing Address
RECORD & RETURN TO:
CPF Tax Due
$ -0-
Improved
Vacant Land X
MICHAEL M GOLDMAN ESQ
13 BRISTOL DRIVE
MANHASSET NY 11030
TD 10
TD
TD
9
8 Title Company Information
Co. Name Aquebogue Abstract Corporation
Title # 3801-0177-0493
Suffolk Count Recordin & Endorsement Pa e
This page fonns part of the attached
Quitclaim Deed
made by:
(SPECIFY TYPE OF INSTRUMENT )
WILLIAM S.MIDGLEY, JR. a/k/a
WILLIAM B. MIDGLEY
The premises herein is situated in
SUFFOLK COUNTY, NEW YORK.
TO
OSCAR E. BLEVINS and
In the Township of Southold
In the VILLAGE
or~ETof Cutchogue
BETH P. BLEVINS
BOXES 5 THRU 9 MUST BE TYPED OR PRlNIED IN BLACK INK ONLY PRIOR TO RECORDING OR FILING.
Page 1 of 3 (OVER)
.
1111111111111111111111111111111111111111111111111111111
1111111111111111111111111
SUFFOLK COUNTY CLERK
RECORDS OFFICE
RECORDING PAGE
Type of Instrument: DEEDS/DDD
Number of Pages: 3
TRANSFER TAX NUMBER: 00-34949
Recorded:
At:
LIBER:
PAGE:
04/20/2001
02:52:41 PM
D00012114
429
District:
1000
Section:
104.00
EXAMINED AND
$0.00
Block:
05.00
CHARGED AS
Lot:
000.000
FOLLOWS
Deed Amount:
Received the Following Fees For Above Instrument
Exempt Exempt
Page/Filing $9.00 NO Handling $5.00 NO
COE $5.00 NO EA-CTY $5.00 NO
EA-STATE $25.00 NO TP-584 $5.00 NO
Cert.Copies $4.00 NO RPT $15.00 NO
SCTM $0.00 NO Transfer tax $0.00 NO
Comm.Pres $0.00 NO
Fees Paid $73.00
TRANSFER TAX NUMBER: 00-34949
THIS PAGE IS A PART OF THE INSTRUMENT
Edward P.Romaine
. County Clerk, Suffolk County
'''PLEASE TYPE OR PRE/>$ FIRMLY WHEN'WRITiNG ON FORM-
I
'lN5Tfl~CTIONS: http:// WW\!V.oips.state.,ny.us or PHONE (518) 473-7222
FOR COUNlY cfs{ONLt I" I
cuiWisOoif. .' J 0/;:7..3 6: ,~. 7 r'
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cz. Date Deed Recorded
C3. BOok
PROPERlY INFORMATION
1. Property I
Location
STREET NUMBER
Mason Drive
STREET NAME
Cutchogue
VILLAGE
11935 I
ZIP CODE
Southold
CITY OR TOWN
2. Buyer
Name
Blevins
LAST NAME I COMPANY
Oscar E.
FIRST NAME
Blevins
LAST NAME I COMPANY
Beth P.
FIRST NAME
3. Tax Indicate where future Tax Bills are to be sent
Billing if other than buyer address (at bottom of form) I
Address
REAL PROPERTY TRANSFER REPORT
STATE OF NEW YORK
STATE BOARD.OF REAL PROPERTY SERVICES
RP - 5217
Rp.S217 Rev 3197
LAST NAME I COMPANY
..
FIRST NAME
STREET NUMBER AND STREET NAME
CITY OR TOWN
4. Indicate the number of Assessment
Roll parcels transferred on the deed
'1 I # of Parcels OR D Part of a Parcel
5. Deed
Property
Size' '
lOR I
'ACRES'
.
4.30~
Ixl
FRQNTFEET
DEPTH
6. Seller
Name
r-iidgley
LAST NAME I COMPANY
Will
FIRST NAME
STATE
ZIP CODE
(Only if Part of a Parcel) Check as they apply:
4A. Planning Board with Subdivision Authority Exists D
4a. Subdivision Approval was Required for Transfer D
4C. Parcel Approved for Subdivision with Map Provided D
s. Jr.
LAST NAME I COMPANY
FtRSTNAME
7. Check the box below which most accurately describes the use of the property at the time of sale:
A ~ One Family Residential
B 2 or 3 Family Residential
C Residential Vacant land
D X Non-Residential Vacant land
I SALE INFORMATION l
11. Sale Contract Date
E ~ Agricultural I ~
F Commercial J
G Apartment K
H Entertainment I Amusement L
Community Service
Industrial
Public Service
Forest
Check the boxes below as they apply:
8. Ownership Type is Condominium
9. New Construction on Vacant Land
10A. Property Located within an Agricultural District
10B. Buyer received a disclosure notice indicating
that the property is in an Agricultural.District
o
o
o
o
15. Check one or more of these conditions as applicable to transfer:
A Sate Between Relatives or Former Relatives
B Sale Between Related Companies or Partners in Business
C One of the Buyers is also a Seller
D Buyer or Seiter is Government Agency or Lending Institution
E Deed Type not Warranty or Bargain and Sale (Specify Below)
F Sale of Fractional or less than Fee Interest (Specify Below)
G Significant Change in Property Between Taxable Status and Sale Dates
H Sale of Business is Included in Sale Price
I Other Unusual Factors Affecting Sale Price (Specify Below)
J None
Quitclaim Deed
7 I 26 I 00
Month Day Year
4 I 18 I 01
Month Day Year
N/A
"-12, Date of Sale I Transfer
, , , 0 , 0 I
, , .
(Full Sale Price is the total amount paid for the property including personal property.
This payment may be in the form of cash, other property or goods. or the assumption of
mortgages or other obligations.) Please round to the nearest whole dollar amount.
N/A
14. Indicate the value of personal 1 1 I 0 I 0 I
property included in the sale, , .
I ASSESSMENT INFORMATION - Data should reft"", lI1e latest FInal Assessment RoH and Tax Bill I tj_ _I
16. Year of Assessment Roll from I 0 0 I I /0 c5 4 ~
hi h'n! ati . k 17. Total Assessed Valuelof all parcels in transfer) Il .
wClormonaen , ,
13. Full Sale Price
18. Property Class
I 3, 2 .3 I-U '9. School Oiatrict Nom. I
Mattituck
Cutchogue UFSD
20. Tax Map Identifier(s)I Ron Identifier(s) (If more than four, attach .eet with additional identifier(sll
Adjacent to parcel
\ ceo I 104 - 5 - 1.2
N/A
;
I
ICERTH'i~~':l
I certify that aD of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and I understand that the making
of any willful false statement of material fact herein will subject me to the provisioos ohhe penal law relative to the making and ~g of false instruments.
BUYER.
k(s,~:::vi.
n 1,)1
U"W, -:.: l).l,,;....~ 4/18/01
Dm
Goldman
BUYER'S A rrORNEY
Michael M.
LAST NAME
FIRST NAME
640
631
Haywaters Drive
STREET NAME (AFTER SALE)
344-3324
AREA CODE
STREET NUMBER
Cutchogue
CITY OR TOWN
NY
11935
STATE
ZIP CODE
SELLER
~:A~U! ~~
4/18/01
DATE
TELEPHONE NUMBER
/
CITYffOWN ASSESSOR
COPY
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